| NPI | 1952912164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRASHID ALI CEO 952-994-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |